Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,348.96	Professional		$977.24	$1,071.52	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,380.38	Professional		$977.24	$1,202.26	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,778.28	Professional		$1,318.26	$1,445.44	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,318.26	Professional		$933.25	$1,047.13	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,621.81	Professional		$794.33	$1,230.27	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,000.00 / $1,380.38	Professional		$29.51	$1,000.00	$1,380.38